| 10/28/2015 |
| 05:34:25 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BATISTA, GERARD, | HW-31712 | R | 83.00 | 5147********1814 | 367172 | 10/28/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 83.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 83.00 |